,Test Bank For Psychiatric Mental Health Nursing 10th Edition
@X @X @X @X @X @X @X @X
,Chapter 1 @X
1. The nurse is assessing the factors contributing to the
@X @X @X @X @X @X @X @X
@X well-
@X being of a newly admitted client. Which of the fol
@X @X @X @X @X @X @X @X @X
lowing would the nurse identify as having a positive
@X @X @X @X @X @X @X @X @
X impact on the individual's mental health?
@X @X @X @X @X
A) Not needing others for companionship
@X @X @X @X
B) The ability to effectively manage stress
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C) A family history of mental illness
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D) Striving for total self- @X @X @X
reliance Ans: B @X @ X
Feedback:
Individual factors influencing mental health include bi
@X @X @X @X @X @X
ologic makeup, autonomy, independence, self-
@X @X @X @X
esteem, capacity for growth, vitality, ability to find m
@X @X @X @X @X @X @X @X
eaning in life, emotional resilience or hardiness, sense
@X @X @X @X @X @X @X
@X of belonging, reality orientation, and coping or stress
@X @X @X @X @X @X @X
@X management abilities. Interpersonal factors such as in
@X @X @X @X @X @X
timacy and a balance of separateness and connectedne
@X @X @X @X @X @X @X
ss are both needed
@X @X @X
for good mental health, and therefore ahealthy person would need others for c
@X @X @X @X @X @X @X @X @X @X @X @X
ompanionship. A family history of mental illnesscould relate to the biologic m
@X @X @X @X @X @X @X @X @X @X @X
akeup of an individual, which may have a negative impacton an individual's m
@X @X @X @X @X @X @X @X @X @X @X @X
ental health, as well as a negative impact on an individual's interpersonal and
@X @X @X @X @X @X @X @X @X @X @X @X @X
socialñcultural factors of health. Total self-
@X @X @X @X @X
reliance is not possible, and a positive social/cultural factor is access to adequ
@X @X @X @X @X @X @X @X @X @X @X @X
ate resources.
@X
2. Which of the following statements about mental illness are true? Select all that appl
@X @X @X @X @X @X @X @X @X @X @X @X @X
y.
A) Mental illness can cause significant distress, impaired functioning, or both.
@X @X @X @X @X @X @X @X @X
B) Mental illness is only due to social/cultural factors.
@X @X @X @X @X @X @X
C) Social/cultural factors that relate to mental illness include excessive depen
@X @X @X @X @X @X @X @X @X
dency on or withdrawal from relationships.
@X @X @X @X @X
D) Individuals suffering from mental illness are usually able to cope effective
@X @X @X @X @X @X @X @X @X @X
ly with daily life.
@X @X @X
E) Individuals suffering from mental illness may experience dissatisfaction
@X @X @X @X @X @X @X @
with relationships and self.
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Ans: A, D, E
@X @X @X
Feedback:
Mental illness can cause significant distress, impaired functioning, or both. Me
@X @X @X @X @X @X @X @X @X @X
ntal illness may be related to individual, interpersonal, or social/cultural factors.
@X @X @X @X @X @X @X @X @X @X
@XExcessive dependency on or withdrawal from relationships are interpersonal fa
@X @X @X @X @X @X @X @X @X
ctors that relate to mental illness. Individuals suffering from mental illness can
@X @X @X @X @X @X @X @X @X @X @X
@Xfeel overwhelmed with daily life. Individuals suffering from mental illness may
@X @X @X @X @X @X @X @X @X @X
@Xexperience dissatisfaction with relationships and self.
@X @X @X @X @X
, 3. Which of the following are true regarding mental health and mental illness?
@X @X @X @X @X @X @X @X @X @X @X
A) Behavior that may be viewed as acceptable in one culture is always unac
@X @X @X @X @X @X @X @X @X @X @X @X
ceptable in other cultures. @X @X @X
B) It is easy to determine if a person is mentally healthy or mentally ill.
@X @X @X @X @X @X @X @X @X @X @X @X @X
C) In most cases, mental health is a state of emotional, psychological, and
@X @X @X @X @X @X @X @X @X @X @X
social wellness evidenced by satisfying interpersonal relationships, effect
@X @X @X @X @X @X @X @X
ive behavior and coping, positive self-concept, and emotional stability.
@X @X @X @X @X @X @X @X
D) Persons who engage in fantasies are mentall
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y ill. Ans: C
@X @X @ X
Feedback:
What one society may view as acceptable and appropriate behavior, another socie
@X @X @X @X @X @X @X @X @X @X @X
ty may see that as maladaptive, and inappropriate. Mental health and mental ill
@X @X @X @X @X @X @X @X @X @X @X @X
ness are difficult to define precisely. In most cases, mental health is a state of
@X @X @X @X @X @X @X @X @X @X @X @X @X @X @
Xemotional, psychological, and social wellness evidenced by satisfying interperson
@X @X @X @X @X @X @X @X
al relationships, effective behavior and coping, positive self-
@X @X @X @X @X @X @X
concept, and emotional stability. Persons who engage in fantasies may be mental
@X @X @X @X @X @X @X @X @X @X @X
ly healthy, but the inability to distinguish reality from fantasy is an individual f
@X @X @X @X @X @X @X @X @X @X @X @X @X
actor that may contribute to mental illness.
@X @X @X @X @X @X
4. A client grieving the recent loss of her husband asks if she is becoming m
@X @X @X @X @X @X @X @X @X @X @X @X @X @X
entally ill because she is so sad. The nurse's best response would be,
@X @X @X @X @X @X @X @X @X @X @X @X
A) ìYou may have a temporary mental illness because you are experiencing s
@X @X @X @X @X @X @X @X @X @X @X
o much pain.î @X @X
B) ìYou are not mentally ill. This is an expected reaction to the loss
@X @X @X @X @X @X @X @X @X @X @X @X @X
you have experienced.î @X @X
C) ìWere you generally dissatisfied with your relationship before your hus
@X @X @X @X @X @X @X @X @X
band's death?î @X
D) ìTry not to worry about that right now. You never know what the future
@X @X @X @X @X @X @X @X @X @X @X @X @X
brings.î Ans: B
@X @X @ X
Feedback:
Mental illness includes general dissatisfaction with self, ineffective relationships,
@X @X @X @X @X @X @X @X @X
ineffective coping, and lack of personal growth. Additionally the behavior must
@X @X @X @X @X @X @X @X @X @X @X
not be culturally expected. Acute grief reactions are expected and therefore not
@X @X @X @X @X @X @X @X @X @X @X @X
considered mental illness. False reassurance or overanalysis does not accurately a
@X @X @X @X @X @X @X @X @X @X
ddress the client's concerns.
@X @X @X
@X @X @X @X @X @X @X @X
,Chapter 1 @X
1. The nurse is assessing the factors contributing to the
@X @X @X @X @X @X @X @X
@X well-
@X being of a newly admitted client. Which of the fol
@X @X @X @X @X @X @X @X @X
lowing would the nurse identify as having a positive
@X @X @X @X @X @X @X @X @
X impact on the individual's mental health?
@X @X @X @X @X
A) Not needing others for companionship
@X @X @X @X
B) The ability to effectively manage stress
@X @X @X @X @X
C) A family history of mental illness
@X @X @X @X @X
D) Striving for total self- @X @X @X
reliance Ans: B @X @ X
Feedback:
Individual factors influencing mental health include bi
@X @X @X @X @X @X
ologic makeup, autonomy, independence, self-
@X @X @X @X
esteem, capacity for growth, vitality, ability to find m
@X @X @X @X @X @X @X @X
eaning in life, emotional resilience or hardiness, sense
@X @X @X @X @X @X @X
@X of belonging, reality orientation, and coping or stress
@X @X @X @X @X @X @X
@X management abilities. Interpersonal factors such as in
@X @X @X @X @X @X
timacy and a balance of separateness and connectedne
@X @X @X @X @X @X @X
ss are both needed
@X @X @X
for good mental health, and therefore ahealthy person would need others for c
@X @X @X @X @X @X @X @X @X @X @X @X
ompanionship. A family history of mental illnesscould relate to the biologic m
@X @X @X @X @X @X @X @X @X @X @X
akeup of an individual, which may have a negative impacton an individual's m
@X @X @X @X @X @X @X @X @X @X @X @X
ental health, as well as a negative impact on an individual's interpersonal and
@X @X @X @X @X @X @X @X @X @X @X @X @X
socialñcultural factors of health. Total self-
@X @X @X @X @X
reliance is not possible, and a positive social/cultural factor is access to adequ
@X @X @X @X @X @X @X @X @X @X @X @X
ate resources.
@X
2. Which of the following statements about mental illness are true? Select all that appl
@X @X @X @X @X @X @X @X @X @X @X @X @X
y.
A) Mental illness can cause significant distress, impaired functioning, or both.
@X @X @X @X @X @X @X @X @X
B) Mental illness is only due to social/cultural factors.
@X @X @X @X @X @X @X
C) Social/cultural factors that relate to mental illness include excessive depen
@X @X @X @X @X @X @X @X @X
dency on or withdrawal from relationships.
@X @X @X @X @X
D) Individuals suffering from mental illness are usually able to cope effective
@X @X @X @X @X @X @X @X @X @X
ly with daily life.
@X @X @X
E) Individuals suffering from mental illness may experience dissatisfaction
@X @X @X @X @X @X @X @
with relationships and self.
X @X @X @X
Ans: A, D, E
@X @X @X
Feedback:
Mental illness can cause significant distress, impaired functioning, or both. Me
@X @X @X @X @X @X @X @X @X @X
ntal illness may be related to individual, interpersonal, or social/cultural factors.
@X @X @X @X @X @X @X @X @X @X
@XExcessive dependency on or withdrawal from relationships are interpersonal fa
@X @X @X @X @X @X @X @X @X
ctors that relate to mental illness. Individuals suffering from mental illness can
@X @X @X @X @X @X @X @X @X @X @X
@Xfeel overwhelmed with daily life. Individuals suffering from mental illness may
@X @X @X @X @X @X @X @X @X @X
@Xexperience dissatisfaction with relationships and self.
@X @X @X @X @X
, 3. Which of the following are true regarding mental health and mental illness?
@X @X @X @X @X @X @X @X @X @X @X
A) Behavior that may be viewed as acceptable in one culture is always unac
@X @X @X @X @X @X @X @X @X @X @X @X
ceptable in other cultures. @X @X @X
B) It is easy to determine if a person is mentally healthy or mentally ill.
@X @X @X @X @X @X @X @X @X @X @X @X @X
C) In most cases, mental health is a state of emotional, psychological, and
@X @X @X @X @X @X @X @X @X @X @X
social wellness evidenced by satisfying interpersonal relationships, effect
@X @X @X @X @X @X @X @X
ive behavior and coping, positive self-concept, and emotional stability.
@X @X @X @X @X @X @X @X
D) Persons who engage in fantasies are mentall
@X @X @X @X @X @X
y ill. Ans: C
@X @X @ X
Feedback:
What one society may view as acceptable and appropriate behavior, another socie
@X @X @X @X @X @X @X @X @X @X @X
ty may see that as maladaptive, and inappropriate. Mental health and mental ill
@X @X @X @X @X @X @X @X @X @X @X @X
ness are difficult to define precisely. In most cases, mental health is a state of
@X @X @X @X @X @X @X @X @X @X @X @X @X @X @
Xemotional, psychological, and social wellness evidenced by satisfying interperson
@X @X @X @X @X @X @X @X
al relationships, effective behavior and coping, positive self-
@X @X @X @X @X @X @X
concept, and emotional stability. Persons who engage in fantasies may be mental
@X @X @X @X @X @X @X @X @X @X @X
ly healthy, but the inability to distinguish reality from fantasy is an individual f
@X @X @X @X @X @X @X @X @X @X @X @X @X
actor that may contribute to mental illness.
@X @X @X @X @X @X
4. A client grieving the recent loss of her husband asks if she is becoming m
@X @X @X @X @X @X @X @X @X @X @X @X @X @X
entally ill because she is so sad. The nurse's best response would be,
@X @X @X @X @X @X @X @X @X @X @X @X
A) ìYou may have a temporary mental illness because you are experiencing s
@X @X @X @X @X @X @X @X @X @X @X
o much pain.î @X @X
B) ìYou are not mentally ill. This is an expected reaction to the loss
@X @X @X @X @X @X @X @X @X @X @X @X @X
you have experienced.î @X @X
C) ìWere you generally dissatisfied with your relationship before your hus
@X @X @X @X @X @X @X @X @X
band's death?î @X
D) ìTry not to worry about that right now. You never know what the future
@X @X @X @X @X @X @X @X @X @X @X @X @X
brings.î Ans: B
@X @X @ X
Feedback:
Mental illness includes general dissatisfaction with self, ineffective relationships,
@X @X @X @X @X @X @X @X @X
ineffective coping, and lack of personal growth. Additionally the behavior must
@X @X @X @X @X @X @X @X @X @X @X
not be culturally expected. Acute grief reactions are expected and therefore not
@X @X @X @X @X @X @X @X @X @X @X @X
considered mental illness. False reassurance or overanalysis does not accurately a
@X @X @X @X @X @X @X @X @X @X
ddress the client's concerns.
@X @X @X